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Breaking bad news: doctors’ skills in communicating with patients

Authors :
Francisco José Ferreira da Silveira
Camila Carvalho Botelho
Carolina Cirino Valadão
Source :
São Paulo Medical Journal, Vol 135, Iss 4, Pp 323-331 (2017)
Publication Year :
2017
Publisher :
Associação Paulista de Medicina, 2017.

Abstract

ABSTRACT CONTEXT AND OBJECTIVE: Breaking bad news is one of doctors’ duties and it requires them to have some skills, given that this situation is difficult and distressful for patients and their families. Moreover, it is also an uncomfortable condition for doctors. The aim of this study was to evaluate doctors’ capacity to break bad news, ascertain which specialties are best prepared for doing this and assess the importance of including this topic within undergraduate courses. DESIGN AND SETTING: Observational cross-sectional quantitative study conducted at a university hospital in Belo Horizonte (MG), Brazil. METHODS: This study used a questionnaire based on the SPIKES protocol, which was answered by 121 doctors at this university hospital. This questionnaire investigated their attitudes, posture, behavior and fears relating to breaking bad news. RESULTS: The majority of the doctors did not have problems regarding the concept of bad news. Nevertheless, their abilities diverged depending on the stage of the protocol and on their specialty and length of time since graduation. Generally, doctors who had graduated more than ten years before this survey felt more comfortable and confident, and thus transmitted the bad news in a better conducted manner. CONCLUSION: Much needs to be improved regarding this technique. Therefore, inclusion of this topic in undergraduate courses is necessary and proposals should be put forward and verified.

Details

Language :
English
ISSN :
18069460 and 15163180
Volume :
135
Issue :
4
Database :
Directory of Open Access Journals
Journal :
São Paulo Medical Journal
Publication Type :
Academic Journal
Accession number :
edsdoj.1cf7ee8f63d24108b39f37a372a89a67
Document Type :
article
Full Text :
https://doi.org/10.1590/1516-3180.20160221270117